| NPI | 1205280013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R8669) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AK 172681) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2021-07-27 |